MultiHance contrast agent injection, 15 mL

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

GADOBENATE DIMEGLUMINE 529 MG/ML IV SOLN

Payers reporting HCPCS A9577

Payer pricing summary

Low

Average

$115

Median

$92

High

$527

Payer rate distribution

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#
1	Blue Cross Blue Shield fee schedule · outpatient · +21 other terms	262	$7	$33	$81	249%	2,556–2,664	$1 – $783
2	Medica fee schedule · outpatient · +14 other terms	41	$15	$122	$423	347%	187–286	$1 – $2.9k
3	Anthem fee schedule · outpatient · +22 other terms	86	$3	$24	$98	415%	129–363	$2 – $715
4	UnitedHealthcare fee schedule · outpatient · +24 other terms	447	$3	$46	$149	322%	35–224	$0 – $1.2k
5	Kaiser fee schedule · both · +15 other terms	42	$2	$2	$1	39%	26–98	$2 – $6
6	WellCare other · outpatient · +15 other terms	14	$453	$683	$379	55%	17	$2 – $917
7	Bcbs Wy other · both · +1 other terms	1	$495	$495	—	—	11	$495 – $495
8	Medicare other · inpatient · +7 other terms	1	$192	$192	—	—	4–40	$192 – $192
9	Cigna fee schedule · outpatient · +21 other terms	327	$3	$38	$131	343%	—	$1 – $930
10	Humana fee schedule · outpatient · +18 other terms	173	$2	$28	$43	154%	—	$1 – $246
11	Aetna fee schedule · outpatient · +22 other terms	145	$5	$81	$203	250%	—	$1 – $1.1k
12	MultiPlan fee schedule · inpatient · +17 other terms	66	$89	$192	$243	127%	—	$1 – $1.3k
13	Caresource fee schedule · outpatient · +12 other terms	54	$3	$226	$215	95%	—	$2 – $435
14	Highmark facility · fee schedule · outpatient · +10 other terms	45	$2	$29	$26	91%	—	$2 – $110
15	Molina fee schedule · outpatient · +17 other terms	40	$4	$24	$46	190%	—	$2 – $213
16	First Health fee schedule · outpatient · +14 other terms	31	$77	$198	$282	143%	—	$5 – $1.1k
17	Bcbs Tx fee schedule · outpatient · +1 other terms	27	$9	$9	$2	28%	—	$4 – $12
18	Baylor Scott White Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	26	$306	$272	$43	16%	—	$213 – $331
19	Medcost percent of total billed charges · outpatientfrom % of charges · +5 other terms	23	$114	$127	$75	59%	—	$22 – $556
20	Healthcare Highways percent of total billed charges · outpatientfrom % of charges · +3 other terms	22	$331	$340	$357	105%	—	$13 – $1.3k
21	Regence professional · fee schedule · outpatient · +11 other terms	21	$2	$2	$0	4%	—	$2 – $2
22	Ambetter other · outpatient · +14 other terms	19	$50	$120	$243	203%	—	$2 – $917
23	Beechstreet percent of total billed charges · outpatientfrom % of charges · +3 other terms	19	$181	$180	$78	43%	—	$67 – $309
24	Healthpartners fee schedule · outpatient · +8 other terms	18	$2	$2	$0	2%	—	$2 – $2
25	Medicaid facility · fee schedule · outpatient · +6 other terms	18	$14	$10	$7	66%	—	$1 – $22

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